Many sessional GPs have several portfolios and you will need to consider how you might evidence your fitness to practice in these different roles. If you undergo a performance review in these roles, you should include the outputs of such meetings as additional supporting information.
In roles that are less formalised you should be able to demonstrate that your CPD and review of your practice (through quality improvement, SEAs and feedback) is drawn from the whole of the scope of your practice over the five-year revalidation cycle, with annual reflection on your competence for each role.
For roles using specific clinical skills such as minor surgery, joint injections, cervical smears and IUCD/IUS insertions, you might have evidence of skills maintenance and refresher training, but the RCGP suggests it may be appropriate to maintain a log of personal outcome data and reflect on the outcomes.
Evidence of fitness to practice
'Any separate role which requires a licence to practise, paid or unpaid, for a different organisation, employer, or as an individual, needs to be included so that the responsible officer (RO) knows where to seek assurance that you are fit to practise.'
Remember that even where your GP role is a small part of your work (eg one session per week) your responsible officer (RO) still needs evidence and reflection that demonstrates that you are up to date and fit to practice as a GP. This means ensuring that there is supporting information relevant to and drawn from your GP role(s).
For example, if your time commitment is 80% in emergency medicine and 20% in general practice, you still need to ensure you submit evidence of quality improvement activity and significant event analysis (SEA) from general practice, not just emergency medicine. Surveys of colleagues should also include feedback from those across all of your roles, though GMC-compliant survey tools need only be used for feedback from clinical colleagues, and from patients; other tools are acceptable for non-clinical roles.
You should include the contact details, where applicable, for each organisation or employer. This will allow the RO to confirm that there are no outstanding clinical governance issues, concerns or investigations, and will permit them to obtain an up-to-date status report on any progress made, before making your revalidation recommendation.